3Department of Infection and Tropical Medicine, Royal Victoria Infirmary, Newcastle on Tyne, UK

noel.gill{at}phe.gov.uk

Arie reported the extent to which migrant patients are a drain on NHS resources.1 The problem of HIV tourism by people who are known to be infected with HIV is minimal. Moreover, whereas some visitors are tested for HIV at sexually transmitted disease (STD) clinics, the numbers are modest and early diagnosis and treatment reduces the costs of care and infectiousness.